Healthcare Provider Details

I. General information

NPI: 1760720957
Provider Name (Legal Business Name): WILLIAM G. OBANA, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2013
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST STE 410
HONOLULU HI
96813-2440
US

IV. Provider business mailing address

1380 LUSITANA ST STE 410
HONOLULU HI
96813-2440
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-9993
  • Fax: 808-523-9992
Mailing address:
  • Phone: 808-523-9993
  • Fax: 808-523-9992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD-8018
License Number StateHI

VIII. Authorized Official

Name: WILLIAM OBANA
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 808-523-9993